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Individual

TAYLOR J BROUGHTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
905 E D ST, DEER PARK, WA 99006-5167
(509) 276-5005
(509) 276-7785
Mailing address
PO BOX 1529, DEER PARK, WA 99006-1529
(509) 276-5005
(509) 276-7785

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60685606
WA

Other

Enumeration date
05/17/2016
Last updated
07/19/2019
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